Riveiro A, Mosquera A, Calvo C, Alonso M, Macía M, Cores M
Hypertension Unit, Department of Medicine, Hospital Clínico Universitario, Santiago de Compostela, Spain.
Gynecol Endocrinol. 2001 Apr;15(2):158-64.
Endothelial dysfunction associated with both menopause and hypertension could be one of the possible explanations for increased cardiovascular morbidity and mortality in hypertensive postmenopausal women. The aim of the present study was to investigate the long-term effect of menopause (bilateral ovariectomy) on endothelial function in isolated aortic rings of spontaneously hypertensive rats (SHR). Aortic rings were suspended in organ chambers filled with physiological salt solution (95% O2, 5% CO2, 37 degrees C), and isometric tension was measured. In studies designed to assess the tone-related release of nitric oxide (NO) from phenylephrine-precontracted aortic rings, we found that vasoconstriction induced by L-NAME was greater in aortic rings from sham-ovariectomized SHR (SHAM SHR) than in those obtained from ovariectomized SHR (OVX SHR). Concentration-related relaxant responses to superoxide dismutase were significantly greater in the SHAM SHR than in the OVX SHR. In contrast, receptor-mediated release of NO was not altered by ovariectomy, as deduced from acetylcholine (ACh) concentration-responses curves. Responses to the exogenous NO donor sodium nitroprusside (SNP) were also identical in both ovariectomized and sham-ovariectomized groups, ruling out differences in smooth muscle reactivity to NO. These results show that NO release is impaired in OVX SHR, an animal model of simultaneous hypertension and menopause.
与绝经和高血压相关的内皮功能障碍可能是绝经后高血压女性心血管发病率和死亡率增加的一种可能解释。本研究的目的是探讨绝经(双侧卵巢切除术)对自发性高血压大鼠(SHR)离体主动脉环内皮功能的长期影响。将主动脉环悬挂在充满生理盐溶液(95% O₂、5% CO₂、37℃)的器官浴槽中,测量等长张力。在旨在评估去氧肾上腺素预收缩的主动脉环中一氧化氮(NO)与张力相关释放的研究中,我们发现,L- NAME诱导的血管收缩在假卵巢切除的SHR(假手术SHR)的主动脉环中比在卵巢切除的SHR(OVX SHR)的主动脉环中更大。超氧化物歧化酶浓度相关的舒张反应在假手术SHR中比在OVX SHR中显著更大。相比之下,从乙酰胆碱(ACh)浓度-反应曲线推断,受体介导的NO释放未因卵巢切除而改变。在卵巢切除组和假手术组中,对外源性NO供体硝普钠(SNP)的反应也相同,排除了平滑肌对NO反应性的差异。这些结果表明,在OVX SHR(一种同时患有高血压和绝经的动物模型)中,NO释放受损。